Pottawattamie County Targeted Medicaid Case Management

LBN: Pottawattamie County Targeted Medicaid Case Management
Pottawattamie County Targeted Medicaid Case Management is an health care organization with primary practice located at 515 5Th Ave Suite #113, Council Bluffs IA 51503-0903. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Pottawattamie County Targeted Medicaid Case Management can be contacted via phone (712) 328-5645, or through Watson, Suzanne via phone (712) 328-5643.

Contact Information

Primary practice address
515 5Th Ave Suite #113 Council Bluffs IA 51503-0903
Phone: (712) 328-5645
Fax: (712) 328-5668
Website:
Map and Directions
Authorized official contact:
Name: Watson, Suzanne MSW
Phone: (712) 328-5643

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Iowa

Profile Details

NPI number 1427129220
LBN Legal business name Pottawattamie County Targeted Medicaid Case Management
DBA Doing business as
Authorized official Watson, Suzanne MSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427129220 NPPES
Iowa MEDICAID 0082503

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